Organization
KINETIX FITNESS THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS SANCHEZ (MEMBER)
(928) 201-6660
Entity
Organization
Contact information
Practice address
848 N RAINBOW BLVD, SUITE 156, LAS VEGAS, NV 89107-1103
(928) 201-6660
Mailing address
848 N RAINBOW BLVD, SUITE 156, LAS VEGAS, NV 89107-1103
(928) 201-6660
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
225100000X
Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
Primary
—
—
2255A2300X
Athletic Trainer
—
—
226300000X
Kinesiotherapist
—
—
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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